0001628280-24-014730.txt : 20240403
0001628280-24-014730.hdr.sgml : 20240403
20240403180148
ACCESSION NUMBER: 0001628280-24-014730
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240401
FILED AS OF DATE: 20240403
DATE AS OF CHANGE: 20240403
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Adkins Katherine
CENTRAL INDEX KEY: 0001870331
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39888
FILM NUMBER: 24820550
MAIL ADDRESS:
STREET 1: C/O AFFIRM HOLDINGS, INC.
STREET 2: 650 CALIFORNIA STREET
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94108
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Affirm Holdings, Inc.
CENTRAL INDEX KEY: 0001820953
STANDARD INDUSTRIAL CLASSIFICATION: PERSONAL CREDIT INSTITUTIONS [6141]
ORGANIZATION NAME: 02 Finance
IRS NUMBER: 842224323
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0630
BUSINESS ADDRESS:
STREET 1: 650 CALIFORNIA STREET
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94108
BUSINESS PHONE: (415) 960-1518
MAIL ADDRESS:
STREET 1: 650 CALIFORNIA STREET
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94108
4
1
wk-form4_1712181698.xml
FORM 4
X0508
4
2024-04-01
0
0001820953
Affirm Holdings, Inc.
AFRM
0001870331
Adkins Katherine
C/O AFFIRM HOLDINGS, INC.
650 CALIFORNIA STREET
SAN FRANCISCO
CA
94108
0
1
0
0
Chief Legal Officer
0
Class A Common Stock
2024-04-01
4
M
0
6784
0
A
104651
D
Class A Common Stock
2024-04-01
4
F
0
2470
34.83
D
102181
D
Restricted Stock Units
2024-04-01
4
M
0
166
0
D
Class A Common Stock
166
2318
D
Restricted Stock Units
2024-04-01
4
M
0
305
0
D
Class A Common Stock
305
6404
D
Restricted Stock Units
2024-04-01
4
M
0
4912
0
D
Class A Common Stock
4912
14736
D
Restricted Stock Units
2024-04-01
4
M
0
1401
0
D
Class A Common Stock
1401
40640
D
Represents the number of shares of the Issuer's Common Stock withheld to satisfy the Reporting Person's tax obligation in connection with the settlement of shares of Common Stock underlying the Reporting Person's restricted stock units that vested on April 1, 2024.
Each Restricted Stock Unit (RSU) represents a contingent right to receive one share of the Issuer's Class A Common Stock.
The RSUs vest in 48 equal monthly installments after June 1, 2021, subject to the Reporting Person's continuous service with the Issuer as of each vesting date. This grant has no expiration date.
The RSUs vest in 48 equal monthly installments beginning February 1, 2022, subject to the Reporting Person's continuous service with the Issuer as of each vesting date. This grant has no expiration date.
The RSUs vest in 24 equal monthly installments beginning August 1, 2022, subject to the Reporting Person's continuous service with the Issuer as of each vesting date. This grant has no expiration date.
The RSUs vest in 48 equal monthly installments beginning October 1, 2022, subject to the Reporting Person's continuous service with the Issuer as of each vesting date. This grant has no expiration date.
/s/ Josh Samples, Attorney-in-Fact
2024-04-03